Resource Coordinator

3 days ago


Newark, Delaware, United States Global Force Full time
Job Title: Resource/Care Coordinator

At Global Force, we are seeking a highly skilled Resource/Care Coordinator to join our care coordination team. As a key member of our team, you will play a vital role in supporting the development and execution of our outreach strategy to influence health outcomes and member engagement.

Key Responsibilities:
  • Actively assist providers in discharge planning for Level 1 members following acute episodes of care, including appointment setting, referrals, and linkages to services.
  • Assist in closing social determinants of health and care gaps through appointment assistance, coordinating transportation, and connecting members to community resources and wellness programs.
  • Establish connections and act as the primary point of contact for a targeted member population through home visits, community visits, and outreach calls.
  • Exercise judgment and discretion in the coordination of care by handling basic care follow-up tasks and collaborating with care coordination teams, community-based healthcare providers, and other organizations.
  • Inform members of required actions to fulfill HEDIS, EPSDT, and Plan requirements, and encourage compliance through phone calls or home visits.
Requirements:
  • Community-based care experience preferred.
  • Behavioral health experience preferred.
  • Previous experience in presenting health education materials to individuals and small groups.
  • Knowledge and understanding of medical terminology and disease processes.
  • Ability to effectively communicate preventive health and health management philosophies to members and agencies.
  • Comprehensive knowledge of Medicaid requirements and plan, policies, and procedures.
  • Knowledge of managed care.
Education:

Associate's Degree in Health Care, Human Services, or a related field or equivalent work experience. Bachelor's Degree preferred.

This is a full-time position that requires up to 50% travel. A valid driver's license and willingness to drive a car are required.



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